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General NPI Number Information
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NPI Number | 1538643846
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Entity Type | Organization
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Legal Business Name | ALL AMERICAN ANESTHESIA, LLC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 23970 SUNCOAST BLVD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2739
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Country | US
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Telephone | 941-584-6272
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Fax | 941-584-6279
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Provider Business Mailing Address
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Address Line | PO BOX 80836
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City | ATHENS
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State | GA
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Zip | 30608-0836
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Country | US
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Telephone | 941-584-6272
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Fax | 941-584-6279
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD WILLIAM DEMASI
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Credential | MD
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Telephone | 941-584-6272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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